Monday, September 14, 2015

Everything but the Kitchen Sink


This is a poor child in a developing country. He gets recurrent infections because of a depressed immune system. He has impaired taste and smell as well as diarrhea. He has a bullous pustular rash. If untreated, he may develop night blindness, alopecia, and decreased spermatogenesis. The treatment, though, is fairly easy.

Challenge: What's he missing?

Image shown under Fair Use.

3 comments:

Anonymous said...

Zinc deficiency

Craig Chen said...

yes! i can't say i have ever diagnosed this, and i don't think i ever will.
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Everything but the Kitchen Sink

This patient has zinc deficiency.

Source: UpToDate.

Anonymous said...

Acrodermatitis enteropathica! So common in my part of the world!